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Research ArticleADULT BRAIN

Effects of MRI Protocol Parameters, Preload Injection Dose, Fractionation Strategies, and Leakage Correction Algorithms on the Fidelity of Dynamic-Susceptibility Contrast MRI Estimates of Relative Cerebral Blood Volume in Gliomas

K. Leu, J.L. Boxerman and B.M. Ellingson
American Journal of Neuroradiology March 2017, 38 (3) 478-484; DOI: https://doi.org/10.3174/ajnr.A5027
K. Leu
aFrom the University of California, Los Angeles Brain Tumor Imaging Laboratory (K.A.B.L., B.M.E.), Center for Computer Vision and Imaging Biomarkers
bDepartment of Bioengineering (K.A.B.L., B.M.E.), Henry Samueli School of Engineering and Applied Science
dDepartments of Radiological Sciences (A.B.L., B.M.E.)
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J.L. Boxerman
fDepartment of Diagnostic Imaging (J.L.B.), Rhode Island Hospital and Alpert Medical School of Brown University, Providence, Rhode Island.
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B.M. Ellingson
aFrom the University of California, Los Angeles Brain Tumor Imaging Laboratory (K.A.B.L., B.M.E.), Center for Computer Vision and Imaging Biomarkers
bDepartment of Bioengineering (K.A.B.L., B.M.E.), Henry Samueli School of Engineering and Applied Science
cUniversity of California, Los Angeles Neuro-Oncology Program (B.M.E.), University of California, Los Angeles, Los Angeles, California
dDepartments of Radiological Sciences (A.B.L., B.M.E.)
eBiomedical Physics (B.M.E.), David Geffen School of Medicine, University of California, Los Angeles, Los Angeles, California
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    Fig 1.

    Effect of the flip angle on recovery of CBV (TE = 35 ms/TR = 1.0 second). A, Percentage error (with 95% CI) of the estimated CBV for different flip angles and leakage-correction strategies, without the use of preload, compared with ground truth CBV. B, Percentage error (with 95% CI) of the estimated CBV for different flip angles and leakage-correction strategies, with use of ¼ dose preload, compared with ground truth CBV.

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    Fig 2.

    Effect of TE and TR on CBV accuracy with flip angle = 60°. A, Percentage error in CBV estimation for different TEs by using TR = 1.0 second without preload. B, Percentage error in CBV estimation for different TEs by using TR = 1.0 second with ¼ dose preload. C, Percentage error in CBV estimation for different TRs with a 60° flip angle and TE = 35 ms with no preload. D, Percentage error in CBV estimation for different TRs with a 60° flip angle and TE = 35 ms with a ¼ dose preload.

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    Fig 3.

    Effects of preload dosage, incubation time, and truncation of corrected ΔR*2(t) on CBV fidelity. A, Percentage errors in CBV for each preload dosage with 95% CI. The best performance was obtained with 1-dose preload and 1-dose DSC-MR imaging bolus when using TE = 35 ms, TR = 1.0 second, and flip angle = 60°. Note the increased T2*-weighting from a full-dose preload decreases the CBV error when using these acquisition parameters. B, Effects of preload incubation time on CBV estimation when using preload. C, Effects of truncation of the ΔR*2(t) curves and leakage-correction strategies on CBV estimation when using a 1-dose preload followed by a 1-dose DSC bolus injection.

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    Fig 4.

    Heat map diagrams depicting the percentage error in the CBV estimation for combinations of acquisition protocols with Bidir. Each quadrant within each subfigure represents a different preload dose. Each subfigure represents a different flip angle: 90° (A), 60° (B), and 35° (C). Optimal strategies balance T1-weighted and T2*-weighted effects from contrast agent extravasation via a combination of TE, TR, and preload. Red boxes indicate acquisition protocols with minimum error, while blue boxes indicate protocols with poor CBV fidelity (high error compared with ground truth).

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American Journal of Neuroradiology: 38 (3)
American Journal of Neuroradiology
Vol. 38, Issue 3
1 Mar 2017
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K. Leu, J.L. Boxerman, B.M. Ellingson
Effects of MRI Protocol Parameters, Preload Injection Dose, Fractionation Strategies, and Leakage Correction Algorithms on the Fidelity of Dynamic-Susceptibility Contrast MRI Estimates of Relative Cerebral Blood Volume in Gliomas
American Journal of Neuroradiology Mar 2017, 38 (3) 478-484; DOI: 10.3174/ajnr.A5027

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Effects of MRI Protocol Parameters, Preload Injection Dose, Fractionation Strategies, and Leakage Correction Algorithms on the Fidelity of Dynamic-Susceptibility Contrast MRI Estimates of Relative Cerebral Blood Volume in Gliomas
K. Leu, J.L. Boxerman, B.M. Ellingson
American Journal of Neuroradiology Mar 2017, 38 (3) 478-484; DOI: 10.3174/ajnr.A5027
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